Rendón-Molina Alejandro, Olguín-Ortega Andrea
Department of Gynecology, National Institute of Perinatology, Mexico City, MEX.
Cureus. 2025 Jun 17;17(6):e86228. doi: 10.7759/cureus.86228. eCollection 2025 Jun.
Müllerian malformations (MM) are congenital anomalies of the female reproductive tract that may have a hereditary component. We report the case of a 20-year-old woman with a notable family history of MM (mother and grandmother with a longitudinal vaginal septum and aunt with a bicornuate uterus) who presented with difficulty inserting tampons and menstrual cups. Physical examination revealed a 3 cm longitudinal vaginal septum, which was confirmed by magnetic resonance imaging (MRI) as a 4 cm septum in the lower two-thirds of the vagina, with no abnormalities in the uterus or cervix. Surgical resection was performed without complications, and the patient recovered uneventfully with standard postoperative care. This case points out the relevance of recognizing familial patterns in MM and suggests that early evaluation and counseling may improve reproductive outcomes and minimize associated complications.
苗勒管畸形（MM）是女性生殖道的先天性异常，可能具有遗传因素。我们报告了一名20岁女性的病例，她有明显的MM家族史（母亲和祖母有纵向阴道纵隔，姑姑有双角子宫），出现了插入卫生棉条和月经杯困难的情况。体格检查发现有一个3厘米的纵向阴道纵隔，磁共振成像（MRI）证实为阴道下三分之二处有一个4厘米的纵隔，子宫和宫颈无异常。进行了手术切除，无并发症，患者经标准术后护理顺利康复。该病例指出了认识MM家族模式的重要性，并表明早期评估和咨询可能改善生殖结局并将相关并发症降至最低。
